5th Edition
Author(s)Susan Scott Ricci; Terri Kyle; Susan
Carman
TEST BANK
Reference
Ch. 1 — Introduction
Question Stem
A public health nurse plans a community program to improve
maternal–child outcomes in a low-income neighborhood.
Which initial action best reflects nursing-centered, evidence-
based program planning?
A. Survey local mothers about perceived needs and barriers.
B. Implement standard prenatal classes used in neighboring
districts.
C. Start home-visiting immediately to all pregnant women in the
,area.
D. Distribute infant safety brochures at the local clinic.
Correct Answer
A
Rationales
• A (Correct): Conducting a community needs assessment
aligns with community-centered program planning and
ensures interventions address real barriers and priorities.
• B: Using neighboring districts' programs without assessing
local needs risks poor fit and low participation.
• C: Immediate universal home-visiting without targeting
wastes resources and may not meet the highest-priority
needs.
• D: Providing brochures is a useful strategy but is superficial
if local needs and barriers are not assessed first.
Teaching Point
Start with a community needs assessment to design relevant
maternal–child interventions.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
2️⃣
,Reference
Ch. 1 — Historical Development
Question Stem
A nursing instructor asks senior students to compare 19th-
century maternal care to modern practice. Which statement
best demonstrates analysis-level understanding of nursing
evolution?
A. “Nursing then focused on hygiene and support; now it
integrates evidence-based, technology-supported care.”
B. “Nurses in the 19th century had less education than today’s
nurses.”
C. “Maternal mortality used to be higher.”
D. “Doctors made all decisions historically.”
Correct Answer
A
Rationales
• A (Correct): This summarizes conceptual evolution—shift
from basic hygiene/support to evidence-based, tech-
enabled, interdisciplinary maternal care.
• B: Accurate but simplistic—does not analyze practice
evolution, education, or role changes.
• C: True historically but is recall-level and lacks analysis of
underlying system changes.
, • D: Overgeneralized and ignores historical nuance (nurses
did exercise influence in many settings).
Teaching Point
Historical perspective reveals the shift from comfort-based care
to evidence-based, interdisciplinary practice.
Citation
Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric
Nursing (5th Ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — The History of Maternal and Newborn Health and
Health Care
Question Stem
During a seminar, a student suggests that early public health
measures reduced newborn mortality the most. Which
historical example best supports that evaluation?
A. Implementation of midwifery training and community
sanitation programs.
B. Development of homeopathy for newborns.
C. Increased availability of herbal remedies for mothers.
D. Rise in private birthing salons for wealthy families.
Correct Answer
A